Background: Occupational hazards that exist within the textile factory have a destructive and serious effect on the workers' health. The aim: of this study is to assess the workers' occupational health hazards at textile factory in Damietta City. Sample: the study is carried on 108 workers. Research design: A descriptive research design is utilized. Data collection tools: data are collected using two tools: workers' structured Interview Questionnaire, and workers' Observational Checklist. Results: revealed that two-fifths (40.0%) of the study group were between the ages of 46-60 years. Less than three quarters (71.3%) of the study group  reported exposing to physical hazards, slightly more than two thirds (69.4%) were exposed to chemical hazards, two thirds (66.7%) were exposed to mechanical hazards and more than half (59.3% ) of the study group were exposed to psychological hazards. There was a statistically  significant difference between levels of education of the study group and various types of occupational hazards, while there was no statistically significant difference between personal protective equipment and various types of occupational hazards. Conclusion: Most of the study group was exposed to various types of occupational health hazards at their workplaces which resulted in tremendous harmful effects on their health. Recommendations: The study recommended the need for stressing on the application of International Standard Occupational Health and Safety Assessment Series in field work to improve occupational health and safety performance of the workers and emphasizing on the importance and usefulness of personal protective equipment to be used in the right way.